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Visceral Leishmaniasis Complicated By Secondary Bacterial Infections in Iraqi Kala-azar | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 9, Issue 2, 2010, Pages 135-139 PDF (0 K) | ||
| Authors | ||
| Abdul Rahman A. Al-Tae; Sami Y. Guirges; Mohammed F. Al-Timmimi | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Kala-azar is a vector borne parasitic disease endemic in Iraq. This disease is complicated by secondary bacterial infections which may lead to death. OBJECTIVE: The study was carried out to detect the bacterial infections associated with kala-azar and the effective treatment. MATERIALS AND METHODS: Collection of blood, urine, stool and ear exudate specimens from 63 proved kala-azar patients. The bacterial isolates from the specimens were subjected to antibiotics sensitivity test. RESULTS: 63 (46.7%) of 135 hospitalized children with visceral leishmaniasis, developing 102 episodes of infections. The sites of these infections were urinary tract 46(45.1%), lower respiratory tract 37(36.3%), gastrointestinal 10(9.8%) and middle ear 9(8.9%). Both Gram negative and Gram positive bacteria were isolated. Most of the isolated bacteria belong to the family Enterobacteriaceae. The antibiotics gentamicin, amikacin and co-trimoxazole were the most effective. CONCLUSION: Bacterial infections were common among hospitalized children with kala-azar. The commonest were Gram negative bacteria of the family Enterobacteriaceae. | ||
| Keywords | ||
| Kala; azar; secondary bacterial infection; antibiotic sensitivity | ||
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